Superior hypophyseal artery aneurysms have the lowest recurrence rate with endovascular therapy

N. Chalouhi, S. Tjoumakaris, A. S. Dumont, L. F. Gonzalez, C. Randazzo, D. Gordon, R. Chitale, R. Rosenwasser, Pascal M. Jabbour

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

BACKGROUND AND PURPOSE: Given the challenges posed by surgical clipping, endovascular techniques have been increasingly used to treat SHA aneurysms. The purpose of this study was to assess the safety and efficacy of endovascular techniques in the treatment of SHA aneurysms. MATERIALS AND METHODS: Medical charts and initial and follow-up angiograms were reviewed retrospectively for all patients treated with endovascular procedures at our institution between January 2006 and February 2011. RESULTS: We identified 87 patients with SHA aneurysms who were treated with endovascular techniques. Of these patients, 79 were women and only 8 were men (90.8% female predominance). Thirty-five patients were treated with coil embolization; 45, with stent-assisted coiling; 4, with balloon-assisted coil embolization; and 3, with a flow-diversion technique. Minor complications occurred in 2 patients (2.2%). None of the patients had a major complication. The mortality and permanent morbidity rates related to the procedure were 0%. Imaging follow-up was available for 89.4% of patients (DSA in 65, MRA in 11 patients) at a mean time point of 10.4 months (range, 6-60 months). Of the 76 patients with available follow-up, 3 patients had a recurrence (3.9%) and only 1 required further intervention (1.3%). Stent-assisted coiling was associated with lower recurrence rates than simple coil embolization. CONCLUSIONS: SHA aneurysms have the lowest recurrence rate with endovascular treatment compared with aneurysms in other locations by using historical data. Because of its safety and efficacy, endovascular therapy should be considered the procedure of choice for the treatment of SHA aneurysms.

Original languageEnglish (US)
Pages (from-to)1502-1506
Number of pages5
JournalAmerican Journal of Neuroradiology
Volume33
Issue number8
DOIs
StatePublished - Sep 2012
Externally publishedYes

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Aneurysm
Arteries
Recurrence
Endovascular Procedures
Therapeutics
Stents
Safety
Angiography
Morbidity
Mortality

ASJC Scopus subject areas

  • Clinical Neurology
  • Radiology Nuclear Medicine and imaging

Cite this

Chalouhi, N., Tjoumakaris, S., Dumont, A. S., Gonzalez, L. F., Randazzo, C., Gordon, D., ... Jabbour, P. M. (2012). Superior hypophyseal artery aneurysms have the lowest recurrence rate with endovascular therapy. American Journal of Neuroradiology, 33(8), 1502-1506. https://doi.org/10.3174/ajnr.A3004

Superior hypophyseal artery aneurysms have the lowest recurrence rate with endovascular therapy. / Chalouhi, N.; Tjoumakaris, S.; Dumont, A. S.; Gonzalez, L. F.; Randazzo, C.; Gordon, D.; Chitale, R.; Rosenwasser, R.; Jabbour, Pascal M.

In: American Journal of Neuroradiology, Vol. 33, No. 8, 09.2012, p. 1502-1506.

Research output: Contribution to journalArticle

Chalouhi, N, Tjoumakaris, S, Dumont, AS, Gonzalez, LF, Randazzo, C, Gordon, D, Chitale, R, Rosenwasser, R & Jabbour, PM 2012, 'Superior hypophyseal artery aneurysms have the lowest recurrence rate with endovascular therapy', American Journal of Neuroradiology, vol. 33, no. 8, pp. 1502-1506. https://doi.org/10.3174/ajnr.A3004
Chalouhi N, Tjoumakaris S, Dumont AS, Gonzalez LF, Randazzo C, Gordon D et al. Superior hypophyseal artery aneurysms have the lowest recurrence rate with endovascular therapy. American Journal of Neuroradiology. 2012 Sep;33(8):1502-1506. https://doi.org/10.3174/ajnr.A3004
Chalouhi, N. ; Tjoumakaris, S. ; Dumont, A. S. ; Gonzalez, L. F. ; Randazzo, C. ; Gordon, D. ; Chitale, R. ; Rosenwasser, R. ; Jabbour, Pascal M. / Superior hypophyseal artery aneurysms have the lowest recurrence rate with endovascular therapy. In: American Journal of Neuroradiology. 2012 ; Vol. 33, No. 8. pp. 1502-1506.
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abstract = "BACKGROUND AND PURPOSE: Given the challenges posed by surgical clipping, endovascular techniques have been increasingly used to treat SHA aneurysms. The purpose of this study was to assess the safety and efficacy of endovascular techniques in the treatment of SHA aneurysms. MATERIALS AND METHODS: Medical charts and initial and follow-up angiograms were reviewed retrospectively for all patients treated with endovascular procedures at our institution between January 2006 and February 2011. RESULTS: We identified 87 patients with SHA aneurysms who were treated with endovascular techniques. Of these patients, 79 were women and only 8 were men (90.8{\%} female predominance). Thirty-five patients were treated with coil embolization; 45, with stent-assisted coiling; 4, with balloon-assisted coil embolization; and 3, with a flow-diversion technique. Minor complications occurred in 2 patients (2.2{\%}). None of the patients had a major complication. The mortality and permanent morbidity rates related to the procedure were 0{\%}. Imaging follow-up was available for 89.4{\%} of patients (DSA in 65, MRA in 11 patients) at a mean time point of 10.4 months (range, 6-60 months). Of the 76 patients with available follow-up, 3 patients had a recurrence (3.9{\%}) and only 1 required further intervention (1.3{\%}). Stent-assisted coiling was associated with lower recurrence rates than simple coil embolization. CONCLUSIONS: SHA aneurysms have the lowest recurrence rate with endovascular treatment compared with aneurysms in other locations by using historical data. Because of its safety and efficacy, endovascular therapy should be considered the procedure of choice for the treatment of SHA aneurysms.",
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AU - Tjoumakaris, S.

AU - Dumont, A. S.

AU - Gonzalez, L. F.

AU - Randazzo, C.

AU - Gordon, D.

AU - Chitale, R.

AU - Rosenwasser, R.

AU - Jabbour, Pascal M.

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N2 - BACKGROUND AND PURPOSE: Given the challenges posed by surgical clipping, endovascular techniques have been increasingly used to treat SHA aneurysms. The purpose of this study was to assess the safety and efficacy of endovascular techniques in the treatment of SHA aneurysms. MATERIALS AND METHODS: Medical charts and initial and follow-up angiograms were reviewed retrospectively for all patients treated with endovascular procedures at our institution between January 2006 and February 2011. RESULTS: We identified 87 patients with SHA aneurysms who were treated with endovascular techniques. Of these patients, 79 were women and only 8 were men (90.8% female predominance). Thirty-five patients were treated with coil embolization; 45, with stent-assisted coiling; 4, with balloon-assisted coil embolization; and 3, with a flow-diversion technique. Minor complications occurred in 2 patients (2.2%). None of the patients had a major complication. The mortality and permanent morbidity rates related to the procedure were 0%. Imaging follow-up was available for 89.4% of patients (DSA in 65, MRA in 11 patients) at a mean time point of 10.4 months (range, 6-60 months). Of the 76 patients with available follow-up, 3 patients had a recurrence (3.9%) and only 1 required further intervention (1.3%). Stent-assisted coiling was associated with lower recurrence rates than simple coil embolization. CONCLUSIONS: SHA aneurysms have the lowest recurrence rate with endovascular treatment compared with aneurysms in other locations by using historical data. Because of its safety and efficacy, endovascular therapy should be considered the procedure of choice for the treatment of SHA aneurysms.

AB - BACKGROUND AND PURPOSE: Given the challenges posed by surgical clipping, endovascular techniques have been increasingly used to treat SHA aneurysms. The purpose of this study was to assess the safety and efficacy of endovascular techniques in the treatment of SHA aneurysms. MATERIALS AND METHODS: Medical charts and initial and follow-up angiograms were reviewed retrospectively for all patients treated with endovascular procedures at our institution between January 2006 and February 2011. RESULTS: We identified 87 patients with SHA aneurysms who were treated with endovascular techniques. Of these patients, 79 were women and only 8 were men (90.8% female predominance). Thirty-five patients were treated with coil embolization; 45, with stent-assisted coiling; 4, with balloon-assisted coil embolization; and 3, with a flow-diversion technique. Minor complications occurred in 2 patients (2.2%). None of the patients had a major complication. The mortality and permanent morbidity rates related to the procedure were 0%. Imaging follow-up was available for 89.4% of patients (DSA in 65, MRA in 11 patients) at a mean time point of 10.4 months (range, 6-60 months). Of the 76 patients with available follow-up, 3 patients had a recurrence (3.9%) and only 1 required further intervention (1.3%). Stent-assisted coiling was associated with lower recurrence rates than simple coil embolization. CONCLUSIONS: SHA aneurysms have the lowest recurrence rate with endovascular treatment compared with aneurysms in other locations by using historical data. Because of its safety and efficacy, endovascular therapy should be considered the procedure of choice for the treatment of SHA aneurysms.

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